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Showing 2 results for Aging
No to Ageism in Older People: A Review Paper
Fatemeh Estebsari, Maedeh Moradpoor Ivki, Mohadeseh Mokhtariyan Delooei,
Volume 17, Issue 0 (12-2024)
Abstract
While the concept of ageism has existed across centuries, countries, contexts, and cultures, the term itself is relatively new and lacks a universal equivalent in many languages. Ageism encompasses stereotypes (how we think), prejudice, and discrimination directed towards individuals based on their age. Given the recent emergence and growing attention to this concept, this study aims to establish a common and consistent understanding of ageism within scientific literature. This review examined the concept of ageism in older adults. A search of the PubMed, Scopus, Web of Science, and Embase databases was conducted using the keyword "Ageism" and "Older adult," yielding 18,945 English-language abstracts published between 2014 and 2024. Two researchers independently reviewed the articles in two stages. An initial review of titles and abstracts resulted in the selection of 77 relevant papers. A subsequent full-text review narrowed the selection to 34 papers, of which 17 were ultimately included after a quality assessment. The findings encompassed various aspects of ageism, including types of ageism, its effects, determining factors, and strategies recommended by the World Health Organization to mitigate ageism. Age discrimination significantly diminishes the quality of life for older adults, increasing social isolation and loneliness. Ageism has profound and widespread consequences for individuals' health, well-being, and human rights. For older adults, ageism is associated with shorter life expectancy, poorer physical and mental health, slower recovery from disability, and cognitive decline. Based on the findings of this study, it is recommended to implement policies and laws, integrate ageism education into curricula from elementary school to university and in both formal and informal settings, and invest in interventions that foster intergenerational contact to effectively reduce age discrimination.

The Role of Ethics in Emergency Care for the Elderly
Soolmaz Moosavi ,
Volume 17, Issue 0 (12-2024)
Abstract
The elderly population is rapidly increasing, and as a result, the demand for emergency services for this age group is also growing. Due to their specific physical and mental conditions, the elderly are exposed to numerous ethical issues and challenges when receiving emergency services. These issues are significant because their physical and mental conditions can prevent them from making decisions independently and achieving informed consent. The aim of this article is to examine the ethical challenges associated with the care of the elderly in the emergency department and to provide suggestions for improving this care. This educational narrative review article examines and analyzes ethical challenges in elderly care in the emergency department using reliable sources and articles between 2005 and 2024. Keywords included "medical ethics," "elderly care," and "emergency," and sources were extracted from reliable scientific databases such as PubMed, Scopus, and Google Scholar. Ethical challenges in elderly care in the emergency department include maintaining the independence of the elderly, obtaining informed consent, ensuring privacy and confidentiality, decision-making at the end of life, observing justice and fairness, maintaining honesty, providing psychological and emotional support, offering compassion and empathy, upholding professional principles of education and awareness, communicating effectively with the family, managing pain, and ensuring patient comfort. Although developed countries have long faced the issue of aging, in recent years, the growth rate of aging in developing countries has accelerated. These countries face major challenges in elderly care due to inadequate infrastructure and rapid demographic changes. Ethical challenges in caring for elderly patients in emergency rooms are among the most important issues that healthcare teams face. These challenges are exacerbated by the physical and mental sensitivity of the elderly, the complexities of treatment, and the need for rapid decision-making. Adherence to ethical principles, along with ongoing education of caregivers, can improve the quality of care for the elderly in emergency situations and prevent physical and mental harm. Therefore, in addition to knowledge and skills, caring for the elderly requires adherence to ethical principles and humane behavior. By following these principles, a sense of trust and peace can be fostered in the elderly. Some suggested solutions include educating and raising awareness among healthcare teams, strengthening communication with family and legal representatives, using ethical standards, encouraging the elderly to prepare a medical will, and utilizing psychological and physical assessments.
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